You can add the function uint16_t UTFT::getPixelColor(uint16_t x, uint16_t y) to the UTFT library (UTFT - Rinky-Dink Electronics) Or at least give full instructions on how to add it.
Most displays haven't this function. In that case the only way to get a color from a tft display is to mantain a fullsize screen buffer, that will requires a much memory than a Uno or even Mega has.